This document provides a case study of the Middle Fork slurry impoundment operated by Clinchfield Coal Company since 1972. It describes several unique engineering challenges that arose during operation, including abandoning the transition between the 60-inch and 24-inch underflow pipes by drilling a vertical shaft and grouting, installing a new 48-inch principal spillway by directional drilling, and extending the life of the fines recovery operation by reclaiming an adjacent abandoned impoundment. The case study details how these challenges were addressed to safely and environmentally soundly operate the impoundment and fine coal recovery facilities over several decades.